Further delineation of the phenotype caused by biallelic variants in the WDR4 gene.
Aurélien TrimouilleE LasseauxP BaratC DeillerS DrunatC RooryckB ArveilerD LacombePublished in: Clinical genetics (2017)
Microcephalic primordial dwarfisms are a group of rare Mendelian disorders characterized by severe growth retardation and microcephaly. The molecular basis is heterogeneous, with disease-causing genes implicated in different cellular functions. Recently, 2 patients were reported with the same homozygous variant in the WDR4 gene, coding for an enzyme responsible for the m7 G46 post transcriptional modification of tRNA. We report here 2 sisters harboring compound heterozygous variants of WDR4. Their phenotype differs from that of the first 2 described patients: they both have a severe microcephaly but only one of the 2 sisters had a head circumference at birth below -2 SD, their intellectual deficiency is less severe, and they have a growth hormone deficiency and a partial hypogonadotropic hypogonadotropism. One of the 2 variants is a frameshift mutation, and the other one is a missense occurring in the same nucleotide affected by the first reported pathogenic variant, which could therefore be a mutational hot spot. The description of these 2 sisters allow us to confirm that biallelic variants in the WDR4 gene can lead to a specific phenotype, characterized by severe growth retardation and microcephaly.
Keyphrases
- copy number
- intellectual disability
- end stage renal disease
- zika virus
- early onset
- genome wide
- newly diagnosed
- chronic kidney disease
- autism spectrum disorder
- genome wide identification
- prognostic factors
- gene expression
- peritoneal dialysis
- pregnant women
- growth hormone
- oxidative stress
- patient reported outcomes
- drug induced
- optical coherence tomography